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61.

Personalized Genomic Testing for Disease Risk

Committee Opinion Number 527, June 2012

(Reaffirmed 2016)

ABSTRACT Advances in genetic technologies have led to the identification of hundreds of single nucleotide polymorphisms that are associated with a variety of complex diseases including cancer diabetes cardiovascular disease and Alzheimer disease Although personalized genomic tests that provide inf...

June 2012

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62.

Opioid Abuse, Dependence, and Addiction in Pregnancy

Committee Opinion Number 524, May 2012

(Reaffirmed 2016)

ABSTRACT Opioid use in pregnancy is not uncommon and the use of illicit opioids during pregnancy is associated with an increased risk of adverse outcomes The current standard of care for pregnant women with opioid dependence is referral for opioidassisted therapy with methadone but emerging eviden...

May 2012

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63.

Intimate Partner Violence

Committee Opinion Number 518, February 2012

ABSTRACT Intimate partner violence IPV is a significant yet preventable public health problem that affects millions of women regardless of age economic status race religion ethnicity sexual orientation or educational background Individuals who are subjected to IPV may have lifelong consequences in...

February 2012

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64.

Health Care for Pregnant and Postpartum Incarcerated Women and Adolescent Females

Committee Opinion Number 511, November 2011

Reaffirmed 2016

ABSTRACT Clinicians who provide care for incarcerated women should be aware of the special health care needs of pregnant incarcerated women and the specific issues related to the use of restraints during pregnancy and the postpartum period The use of restraints on pregnant incarcerated women and a...

November 2011

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65.

Maternal-Fetal Intervention and Fetal Care Centers

Committee Opinion Number 501, August 2011

(Reaffirmed 2014)

ABSTRACT The past two decades have yielded profound advances in the fields of prenatal diagnosis and fetal intervention Although fetal interventions are driven by a beneficencebased motivation to improve fetal and neonatal outcomes advancement in fetal therapies raises ethical issues surrounding m...

August 2011

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66.

Adult Manifestations of Childhood Sexual Abuse

Committee Opinion Number 498, August 2011

(Reaffirmed 2015)

ABSTRACT Longterm effects of childhood sexual abuse are varied complex and often devastating Many obstetriciangynecologists knowingly or unknowingly provide care to abuse survivors and should screen all women for a history of such abuse Depression anxiety and anger are the most commonly reported e...

August 2011

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67.

At-Risk Drinking and Alcohol Dependence: Obstetric and Gynecologic Implications

Committee Opinion Number 496, August 2011

(Reaffirmed 2013)

ABSTRACT Compared with men atrisk alcohol use by women has a disproportionate effect on their health and lives including reproductive function and pregnancy outcomes Obstetriciangynecologists have a key role in screening and providing brief intervention patient education and treatment referral for...

August 2011

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68.

Vitamin D: Screening and Supplementation During Pregnancy

Committee Opinion Number 495, July 2011

(Reaffirmed 2015)

ABSTRACT During pregnancy severe maternal vitamin D deficiency has been associated with biochemical evidence of disordered skeletal homeostasis congenital rickets and fractures in the newborn At this time there is insufficient evidence to support a recommendation for screening all pregnant women f...

July 2011

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69.

Sulfonamides, Nitrofurantoin, and Risk of Birth Defects

Committee Opinion Number 494, June 2011

(Reaffirmed 2015)

Abstract The evidence regarding an association between the nitrofuran and sulfonamide classes of antibiotics and birth defects is mixed As with all patients antibiotics should be prescribed for pregnant women only for appropriate indications and for the shortest effective duration During the secon...

June 2011

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70.

Prevention of Early-Onset Group B Streptococcal Disease in Newborns

Committee Opinion Number 485, April 2011

(Replaces No. 279, December 2002, Reaffirmed 2016)

ABSTRACT In 2010 the Centers for Disease Control and Prevention revised its guidelines for the prevention of perinatal group B streptococcal disease Although universal screening at 3537 weeks of gestation and intrapartum antibiotic prophylaxis continue to be the basis of the prevention strategy th...

April 2011

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71.

Methamphetamine Abuse in Women of Reproductive Age

Committee Opinion Number 479, March 2011

(Reaffirmed 2013)

ABSTRACT Methamphetamine abuse has continued to increase in the United States since the late 1980s with its use spreading from the West Coast to areas across the country Methamphetamine use in pregnancy endangers the health of the woman and increases the risk of low birth weight and small for gest...

March 2011

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72.

Family History as a Risk Assessment Tool

Committee Opinion Number 478, March 2011

(Reaffirmed 2015)

ABSTRACT Family history plays a critical role in assessing the risk of inherited medical conditions and single gene disorders Several methods have been established to obtain family medical histories including the family history questionnaire or checklist and the pedigree The screening tool selecte...

March 2011

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73.

Nonobstetric Surgery During Pregnancy

Committee Opinion Number 474, February 2011

(Replaces No. 284, August 2003, Reaffirmed 2015)

ABSTRACT The American College of Obstetricians and Gynecologists Committee on Obstetric Practice acknowledges that the issue of nonobstetric surgery during pregnancy is an important concern for physicians who care for women It is important for a physician to obtain an obstetric consultation before...

February 2011

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74.

Smoking Cessation During Pregnancy

Committee Opinion Number 471, November 2010

(Replaces No. 316, October 2005. Reaffirmed 2015)

ABSTRACT Smoking is the one of the most important modifiable causes of poor pregnancy outcomes in the United States and is associated with maternal fetal and infant morbidity and mortality The physical and psychologic addiction to cigarettes is powerful however the compassionate intervention of th...

November 2010

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75.

Moderate Caffeine Consumption During Pregnancy

Committee Opinion Number 462, August 2010

(Reaffirmed 2016)

ABSTRACT Moderate caffeine consumption less than 200 mg per day does not appear to be a major contributing factor in miscarriage or preterm birth The relationship of caffeine to growth restriction remains undetermined A final conclusion cannot be made at this time as to whether there is a correlat...

August 2010

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76.

Preparing for Disasters: Perspectives on Women

Committee Opinion Number 457, June 2010

(Reaffirmed 2016)

ABSTRACT Emergency plans that specifically address the needs of women infants and children during disasters are currently underdeveloped in the United States Pregnant women infants and children are adversely affected by disasters resulting in an increased number of infants with intrauterine growth...

June 2010

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77.

Magnesium Sulfate Before Anticipated Preterm Birth for Neuroprotection

Committee Opinion Number 455, March 2010

(Reaffirmed 2016)

Abstract Numerous large clinical studies have evaluated the evidence regarding magnesium sulfate neuroprotection and preterm births The Committee on Obstetric Practice and the Society for MaternalFetal Medicine recognize that none of the individual studies found a benefit with regard to their prim...

March 2010

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78.

Air Travel During Pregnancy

Committee Opinion Number 443, October 2009

(Replaces No. 264, December 2001, Reaffirmed 2016)

ABSTRACT In the absence of obstetric or medical complications pregnant women can observe the same precautions for air travel as the general population and can fly safely Pregnant women should be instructed to continuously use their seat belts while seated as should all air travelers Pregnant air t...

October 2009

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79.

Oral Intake During Labor

Committee Opinion Number 441, September 2009

Reaffirmed 2015

ABSTRACT There is insufficient evidence to address the safety of any particular fasting period for solids in obstetric patients Expert opinion supports that patients undergoing either elective cesarean delivery or elective postpartum tubal ligation should undergo a fasting period of 68 hours Adher...

September 2009

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80.

Ethical Issues in Genetic Testing

Committee Opinion Number 410, June 2008

(Reaffirmed 2014)

ABSTRACT Genetic testing is poised to play an increasing role in the practice of obstetrics and gynecology To assure patients of the highest quality of care physicians should become familiar with the currently available array of genetic tests and the tests limitations Clinicians should be able to ...

June 2008

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